CPT 93575 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Cardiovascular Procedures |
| Common Place of Service | • 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital |
| Common Modifiers | • None • 59 - Distinct Procedural Service • 76 - Repeat procedure by same physician • 22 - Increased Procedural Services |
| Complexity Level | Low |
National average reimbursement for CPT 93575 by major payers:
$134.95
$128.61
$116.87
$163.50
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 93575 | ||||||
United | 93575 | $1845.00 | 1902901333 - CLARA MAASS MEDICAL CENTER | 221500556 | NJ | General Acute Care Hospital (282N00000X) |
United | 93575 | $563.00 | 1326022765 - VHS OF ARROWHEAD, INC, ABRAZO ARROWHEAD CAMPUS | 621811285 | AZ | General Acute Care Hospital (282N00000X) |
United | 93575 | $3560.25 | 1265698948 - UNIVERSITY OF IOWA HOSPITAL AND CLINICS | 426004813 | IA | General Acute Care Hospital (282N00000X) |
United | 93575 | $991.00 | 1104856095 - DESERT REGIONAL MEDICAL CENTER, INC., DESERT REGIONAL MEDICAL CENTER | 752694137 | CA | General Acute Care Hospital (282N00000X) |
United | 93575 | $550.00 | 1437179710 - PEMISCOT COUNTY MEMORIAL HOSPITAL | 436004544 - (MO) PEMISCOT COUNTY MEMORIAL HOSPITAL | MO | General Acute Care Hospital (282N00000X) |
United | 93575 | $1772.00 | 1124305065 - BAYLOR SCOTT & WHITE MEDICAL CENTERS, BAYLOR SCOTT & WHITE MEDICAL CENTER - MCKINNEY | 751037591 - (TX) BAYLOR MEDICAL CENTERS AT GARLAND AND MCKINNEY | TX | General Acute Care Hospital (282N00000X) |
United | 93575 | $5074.00 | 1225280514 - SAINT PETERS UNIVERSITY HOSPITAL | 221487330 - (NJ) SAINT PETERS UNIVERSITY HOSPITAL | NJ | General Acute Care Hospital (282N00000X) |
United | 93575 | $1741.00 | 1902396708 - UNIVERSITY OF COLORADO HOSPITAL AUTHORITY, UCHEALTH EMERGENCY ROOM - COMMERCE CITY | 841179794 - (CO) UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | CO | General Acute Care Hospital (282N00000X) |
United | 93575 | $1085.00 | 1487629978 - PERSON MEMORIAL HOSPITAL | 452909143 | NC | General Acute Care Hospital (282N00000X) |
United | 93575 | $400.00 | 1760417646 - FANNIN COUNTY HOSPITAL AUTHORITY, DBA TMC BONHAM HOSPITAL | 461353294 | TX | Critical Access Hospital (282NC0060X) |
United | 93575 | $948.00 | 1023069028 - SOUTHCREST LLC, SOUTHCREST HOSPITAL | 452711804 | OK | General Acute Care Hospital (282N00000X) |
United | 93575 | $835.00 | 1144211020 - FLAGLER HOSPITAL INC | 590675143 - (FL) FLAGLER HOSPITAL INC | FL | General Acute Care Hospital (282N00000X) |
United | 93575 | $743.00 | 1689682999 - BERGEN COUNTY IMPROVEMENT AUTHORITY, BERGEN NEW BRIDGE MEDICAL CENTER | 223240487 | NJ | General Acute Care Hospital (282N00000X) |
United | 93575 | $1475.00 | 1063466035 - CHCA CLEAR LAKE LP, HCA HOUSTON HEALTHCARE CLEAR LAKE | 621801360 | TX | General Acute Care Hospital (282N00000X) |
United | 93575 | $535.00 | 1477061885 - QUITMAN HOSPITAL LLC | 823817196 | TX | Critical Access Hospital (282NC0060X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 93575 vs. Other Cardiovascular Procedures Codes
The CPT 93575 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93575 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93565-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Left Ventricular Or Left Atrial Angiography (List Separately In Addition To Code For Primary Procedure) |
| 93566-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Right Ventricular Or Right Atrial Angiography (List Separately In Addition To Code For Primary Procedure) |
| 93568-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision Interpretation And Report; For Nonselective Pulmonary Arterial Angiography (List Separately In Addition To Code For Primary Procedure) (Desc Rvsd 1/1/23) |
| 93575-CPT | Low | Injection Procedure During Cardiac Catheterization Including Imaging Supervision, Interpretation, And Report; For Selective Pulmonary Angiography Of Major Aortopulmonary Collateral Arteries (Mapcas) Arising Off The Aorta Or Its Systemic Branches, During Cardiac Catheterization For Congenital Heart Defects, Each Distinct Vessel (List Separately In Addition To Code For Primary Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93575 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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